Achieving normal glycemic control by implementing an American Indian approach diabetes prevention program for seniors with non-complicated type II diabetes
Indian Health Center of Santa Clara Valley (IHC) has implemented the Diabetes Prevention Program (DPP) since 2004. The curriculum is based on a study by the National Institute of Health which found that an intensive lifestyle intervention can lower the risk of diabetes by 58%. In 2004 the Indian Health Service funded DPP pilot programs to translate the NIH study from research to community settings. IHC's DPP is an innovative 17-week lifestyle change program taught by a multidisciplinary team of professionals including a Registered Dietitian, Certified Diabetes Educator, Mental Health Counselor, Kinesiologist, and Health Educators. Baseline/follow up labs and surveys are obtained to track outcomes. DPP's annual diabetes conversion rate is 1% as compared to the NIH study predicted rate of 11% without the intervention. In 2007 IHC pursued funding to expand to other populations. In 2010, IHC contracted with a Public Health Sector insurance plan to provide DPP to participants with pre-diabetes with a Fasting Blood Glucose (FBG) of 100-125 and patients with non-complicated Type II diabetes. Patients with a FBG >125 and no complications were referred by their primary care physicians. 30% of participants were seniors age 62 + and 50% of those were diagnosed with diabetes. At follow-up, lab results indicated that 42% of all seniors saw a drop in their glycemic index and 67% of diabetic seniors dropped below diabetic range. Using IHC American Indian DPP concepts, seniors with non-complicated diabetes were able to lower their risk of diabetes complications and increase their quality of life.
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Identify key components of a successful cohort of a Diabetes Prevention Program into a population of a public sector health plan implemented with both senior
pre-diabetic and non-complicated diabetic participants.
Keyword(s): Intervention, Diabetes
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have managed the Diabetes Prevention Program at the Indian Health Center of Santa Clara Valley since 2007. I have presented at APHA,CDC,ADA, IHS, NIHB, Stanford University etc.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.